| NPI | 1972345643 |
|---|---|
| Former Name | MEGAN SUZANNE WAGNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 43-558184-091) |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-06-12 |